CPT 40490
Biopsy of lip
Last reviewed August 2026 · DataLily AI data team
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CPT 40490 at a glance
- Code
- 40490
- Code type
- CPT/HCPCS
- Short descriptor
- Biopsy of lip
- Category
- ASC Surgical
- ASC eligibility
- ASC-eligible (surgical)
- Typical setting
- Ambulatory surgery center (POS 24); also commonly performed in an office or clinic (POS 11).
- Medicare ASC rate
- $76.87 national · 2026Q2
What is CPT code 40490?
CPT 40490 is a CPT/HCPCS procedure code for biopsy of lip. Its official short descriptor is "Biopsy of lip". In the ASC context it is grouped under ASC Surgical.
Is CPT 40490 eligible in an ambulatory surgery center (ASC)?
CPT 40490 can be performed in a certified ambulatory surgery center.
Where is CPT 40490 typically performed?
Ambulatory surgery center (POS 24); also commonly performed in an office or clinic (POS 11).
What is the Medicare ASC payment rate for CPT 40490?
The national Medicare ASC payment rate for CPT 40490 is $76.87 (Medicare ASC Payment System, 2026Q2). This is the national, unadjusted Medicare amount; the amount an individual ambulatory surgery center is paid is adjusted for local wage index and may differ. It reflects Medicare's facility payment only and does not include the surgeon's professional fee.
Which specialties use CPT 40490?
CPT 40490 is most associated with General Surgery.
Reference information about ASC eligibility and typical procedure setting. Codes, descriptors, and ASC-eligibility status change over time. This is a coding reference, not billing, coding, or legal advice. Always verify against current guidance and individual payer policy before scheduling or billing. CPT is a registered trademark of the American Medical Association. Read the DataLily AI data methodology.